Provider Demographics
NPI:1477054997
Name:HARVEY, MORGAN MACKENZIE (MD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:MACKENZIE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US FLEET FORCES COMMAND 1562 MITCHER AVENUE SUITE 250
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23551-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:EMF CAMP LEMONNIER
Practice Address - Street 2:
Practice Address - City:DJIBOUTI
Practice Address - State:DJIBOUTI
Practice Address - Zip Code:00000
Practice Address - Country:DJ
Practice Address - Phone:415-699-2560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program